Marissa Opal Moore, LPC

NPI #1134637937 in Nevada, Missouri

Provider Information

NPI Number
1134637937
Entity Type
Individual
Name
Marissa Opal Moore, LPC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Professional
Credential
LPC
Enumeration Date
Jan 15, 2018
Last Updated
Sep 30, 2020

Practice Location

Address
815 S ASH ST
City
Nevada
ZIP Code
64772-3222
Phone
(417) 667-8352

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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